Informations requis pour la demande de waiver américain

Applicant's Name (your name)*
Prénom 2ème prénom Nom
Date
Format de date :MM slash JJ slash AAAA
Marital Status
Current Marital Status
How many times have you been married? (including annulled and marriages to the same person)
Spouse's Full Name
Prénom 2ème prénom Nom Suffixe
Alien # (if applicable)
Spouse's Date of Birth (MM/DD/YYYY)
Spouse's Place of Birth (City, Country)
Place and date of Marriage (City, Country: MM/DD/YYYY)
Do you have a former spouse?*
Place of divorce*
Date of divorce*
Former Spouse's Full Name
Prénom 2ème prénom Nom Suffixe
Former Souse's Alien # (if applicable)
Former Spouse's Place of Birth (City, Country)
Former Spouse's Date of Birth (MM/DD/YYYY)
Former Place and date of Marriage (City, Country: MM/DD/YYYY)
Do you have another former spouse ?
Other Former Spouse's Full Name
Prénom 2ème prénom Nom Suffixe
Other Former Souse's Alien # (if applicable)
Other Former Spouse's Place of Birth (City, Country)
Other Former Place and date of Marriage (City, Country: MM/DD/YYYY)
Immigration Status
Have you ever stayed in the United States for a period of 6 months or more?
If Yes, please explain (when, for how long, under what immigration status?)
USA social security # (if applicable)
Have you (or someone acting on your behalf) ever applied for a US immigration benefit (work visa, green card, etc.), are you currently applying for a benefit, or will you apply for a benefit in the future?
Type of Application
Location where the application was filed (city, country)
Outcome of the application (approved, denied, pending)?
Has the United States government ever revoked an immigration benefit?
Please provide details
Have you ever been arrested or charged for any violation of law (criminal or immigration) outside of Canada or at the border?
Please provide details
Please include a brief explanation of your purpose for travelling to the United States (work/travel/etc.)
Have you previously been issued a US entry waiver?
Which Port of Entry (Border Crossing) did you submit your previous U.S Entry Waiver applications at?
Approximate date(s) of submission (month/year)?
Details on Waiver use (i.e. work-related trips, connecting flights, vacations)
Please notify us if any of your information has changed since your previous submission. This includes contact information, marital status, deaths in the family, address, employment or any other information you believe might be relevant to your file.

Informations requis pour la demande de waiver américain

Marital Status

Immigration Status

Nos services:

Bureau de Montréal

Toronto Office